FDA Adverse Event Malfunction Summary report: N

DRILL 1.5X105MM 22MM STP J-NT

MDR report key: 22053024 · Received May 20, 2025

Report

Report Number
0001032347-2025-00213
Event Type
Malfunction
Date Received
May 20, 2025
Date of Event
April 24, 2025
Report Date
October 10, 2025
Manufacturer
BIOMET MICROFIXATION
Product Code
HBE
PMA / PMN Number
K062842
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MY
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

COMPLAINT (B)(4). D10 ¿ MEDICAL PRODUCTS. ITEM# 01-9198, LOT# 66250040, DRILL 1.5X105MM 22MM STP J-NT. G2: FOREIGN SOURCE: MALAYSIA. H6: COMPONENT CODE: MECHANICAL (G04) ¿ DRILL. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION AND/OR CORRECTED INFORMATION. UPDATED: B5, G3, H2, H3, H4, H6 AND H11. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER AND PRODUCT WAS NOT RETURNED. DHR WAS REVIEWED AND NO DISCREPANCIES RELATED TO THE REPORTED EVENT WERE FOUND. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 0

IT IS REPORTED THAT DURING A PROCEDURE TO FIX A MANDIBLE RAMUS FRACTURE, THE SURGEON WAS DRILLING THE MANDIBLE BONE WHEN THE DRILL TIP FRACTURED. SUBSEQUENTLY, THE SURGEON USED ANOTHER TWIST DRILL, AND THE TIP ALSO FRACTURED WHILE DRILLING. THE DRILL BITS WERE REMOVED SUCCESSFULLY. THE PROCEDURE WAS COMPLETED USING A DIFFERENT INSTRUMENT.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2370120 DRILL 1.5X105MM 22MM STP J-NT DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE, POWERED) HBE BIOMET MICROFIXATION 66250040

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown